| NPI | 1912186925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT000640) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2013-12-02 |